Homestead_Harris (9) slsh FORM!3t ,Ci ,PI IPfASULEA FORM IS-IA
.VIXm'LO ST Cr5TL NNW T MXnL%T'.1w RLAWPmaY 111E DEPM1xn.4T(F LMTL OmrLNMETT FINANCE r I.1-r-r.I
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead standanl deduction.As the receipt of this deduction becomes
more beneficial,there is more incenti'e than e'er for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
0- HES 1344-2009 requires taxpayers who receive the homestead standard deduction In verify that they am eligible to rreei'e the
benefit anti to pmx'ide additional identifying information necesthry to allow county eovemment to better monitor homestead
filing,this information will be kept rnnlideniial and ran only he accessed by authorierd county officials.The Depanmem of
Local Govcnanent Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
_ Harris, Russell D/Cynthia A
1001 S Stout
Princeton IN 47670
3851 -- - _ - -- -_ --- - --- - - - - - - ---- - - ---- ---
Russell D/Cynthia A Harris
1001 S Stout State Parcel Number Legal Description
Princeton IN 47670-2742
111 r t l l t t t 1111 r 11111111 I 111111111111111111 11111 t 11 26-12-18-202-002.190-028 019-02190-00 SS ADD 369/370
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
Russell D . !-IAERIS
- tg Address(number and street,city,state,and ZIP code)
$ p- - Same as property address. — -- -- -—
t043 1 I Soo "h Stook- St ( RINCe-40r1 -1N `�-t6-10
-
Spouse Firs" Middle Last
Cy nit ( A It NF}22.tS
Mailing Address(Number and street,city,state,and ZIP code) l'Same as property address
loo S. STOUT ST PR/Ncekn r 1 410-7o
PART 3:CERTIFICATION
Each undersigned certifies,under penalty of perjury,that the above and foregoing information is true and correct and that he or she is eligible to
receive the homestead standard deduction on this property.Each undersigned also understands that,by claiming additional homestead deductions
unlawfully,he or she may be liable for back taxes and substantial financial penalties.
Owner I Signature Date
0
.�4n•E CLAIM FOR HOMESTEAD PROPERTY.TAX
d� � CREDIT/STANDARD DEDUCTION
:'-� y :
.� State Form 5473 (R2/1-90)
�'°�° � INSTRUCTIONS: See reverse side lor liling inst�uctions. .
CERTIFICATION STATEMENT
I (We)
9�/9� _
_ FOR� j� � EAR
HC1� _� A
on the 1 st day of
OCT 8 19g2.
�(We) occupied as our principal place bi residence th following described real property for which a Homestead
�i'roperty Tax Credit is hereby ciaimed: I(We) owned ❑ Are buying under contract
�Have a beneficial interest in the entity that is lia le fo� the property taxes on the property and that owns the
property or is buying it under a contract.
CONTRACT RECORDED
If buying on contrac(. Fee Simple Owner's Name
Recorder's office where contract is
PROPERTY DESCRIPTION
Taxing ; s ic
r Number Legal Descri
�I - oa �g0-�o ��'� Qc(cj' ��1,�7�)
If any portion of the residential structure or the land not exceeding one ( 7) acre that immediately surrounds that struc-
ture is used to produce income describe the use and portion of the property utilized to produce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
Township � County Township
certify the above statements are true. correci and � S at y� �e '/
' (_u�vr,/-�ucG, f� �i
�(Street. number. city, state and IP code)
�ooi s sr��r �,e��Q� ..l�d u���o --
ASSESSOR USE ONLY � TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE
NON-RESIDENTIAL
VALUE
Land noi exceeding 7(one) acre immediately '
surrounding residential improvemenis (�)
Otherland (2)
Total land - line (1) plus line (2) (3)
Residential improvements Dwelling (4) � � � - � -
Garage (5)
Other improvements (6)
Total improvements - line (4) through line (6) (7)
Total value - line (3) plus line (7) (8)
I hereby certify the above is irue. Signature of Assesor Date Signed
correct, and complete
Verifying Action - Signature of Auditor Date Signed
1989 Pay 1990
Lesser of 7/2 Homestead
,^-i � Valuation or $2,500
STANDARD DEDUCTION ALLOWANCE
7 990 Pay 1997 , 1991 Pay 1992 19 — Pay 19 —
Lesser of 1/2 Homestead Lesser of 1/2 Homestead Lesser of 1/2 Homestead
Valuation or $2.000 Valuation or 57.500 Valuation or 51,500
Signature of Auditor �� , ��� „ � � Date